054.00.12-11. CLAIMS AND REVIEW PROCEDURE.
AR ADC 054.00.12-11Arkansas Administrative Code
Ark. Admin. Code 054.00.12-11
054.00.12-11. CLAIMS AND REVIEW PROCEDURE.
11.1 The insurance company shall be responsible for the settlement, adjustment and payment of all claims and shall establish and maintain adequate claim files, which may be reviewed and examined by the Commissioner. All claims shall be promptly reported to the insurance company, or its designated claim representative, and all claims shall be settled as soon as possible and in accordance with the terms of the insurance contract.
11.3 No plan or arrangement shall be used whereby any person, firm or corporation other than the insurer or its designated claim representative shall be authorized to settle or adjust claims. The creditor shall not be designated as claim representative for the insurer in settling or adjusting claims; provided, that a group policyholder may, by arrangement with the group insurer, draw drafts or checks in payment of claims due to the group policyholder subject to audit and review by the insurer. However, nothing herein shall be construed to relieve the insurance company from the responsibility for the proper settlement, adjustment and payment of all claims in accordance with the terms of the insurance contract.
11.4 It shall be the responsibility of the insurer to review each lender's account at least annually verifying the accuracy of premium payments, or other identifiable insurance charges, premium refunds, and claims incurred and to be prepared to exhibit the results of such review upon request of the Commissioner.
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 054.00.12-11, AR ADC 054.00.12-11
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